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GENE:

FOLR1 ( Folate receptor alpha )

i
Other names: FOLR1, Folate Receptor Alpha, Ovarian Tumor-Associated Antigen MOv18, Adult Folate-Binding Protein, Folate Receptor 1 (Adult), Folate Receptor, Adult, Folate Receptor 1, KB Cells FBP, FR-Alpha, FOLR, FBP, Folate Binding Protein, FRalpha
3d
Mirvetuximab soravtansine-Gynx (MIRV) for treating platinum-resistant recurrent ovarian cancer. (PubMed, Taiwan J Obstet Gynecol)
Finally, any-grade ocular adverse events (OAEs) are particularly common in patients during MIRV treatment, arising in 125 (57 %); grade ≥3 in 34 (16 %), most frequently, blurred vision (18 [8 %]), keratopathy (21 [10 %]), cataract (11 [5 %]), and dry eye (8 [4 %]); however, fortunately, over 90 % with OAEs had either full resolution or documented final grade 1 or better. The current review also discusses OAE, based on its high incidence, frequent cause responsible to dose reduction and delaying therapy with impacting 11-35 % of patients and of the most importance, relative unfamiliarity to most gynecological oncologists in the routine clinical practice.
Clinical • Review • Journal • Platinum resistant
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FOLR1 ( Folate receptor alpha )
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FOLR1 expression
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Elahere (mirvetuximab soravtansine-gynx)
6d
Synthesis of Folic Acid-Functionalized Hybrid Mesoporous Silica Nanoparticles and In Vitro Evaluation on MCF-7 Breast Cancer Cells. (PubMed, Int J Mol Sci)
In vitro dissolution of the model drug doxorubicin was carried out in release media with pH 7.4 and pH 5.5...Its cardiotoxicity was significantly reduced in the case of loading onto the folic acid-functionalized lipid-coated MSNs. All these findings provide a promising proof-of-concept, although further experimental validation, particularly regarding targeting selectivity and safety, is required.
Preclinical • Journal
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FOLR1 ( Folate receptor alpha )
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doxorubicin hydrochloride
8d
Evaluating a data-driven approach to biomarker discovery for tumor-targeted imaging in epithelial ovarian cancer. (PubMed, Biomarkers)
In contrast, there was a discrepancy in AQP5 expression at the protein level compared to its gene counterpart. While this approach was valuable in identifying novel targets for tumor targeted imaging of EOC, immunohistochemistry or cell studies remain imperative for validation of RNA expression results.
Journal
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FOLR1 ( Folate receptor alpha ) • VTCN1 (V-Set Domain Containing T Cell Activation Inhibitor 1)
8d
Synthetic zipper mediated pre-targeting system for near-infrared photoimmunotherapy. (PubMed, iScience)
Notably, the treatment induced cell death in ∼86%-94% of cells and triggered ICD, as evidenced by increased (∼4- to 200-fold more) surface exposure of calreticulin, HSP70 and HSP90. These findings demonstrate that the synthetic zipper-mediated pre-targeting platform offers a promising and versatile strategy for enhancing the specificity and immunogenic potential of NIR-PIT in cancer therapy.
Journal
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FOLR1 ( Folate receptor alpha ) • CALR (Calreticulin) • HSP90AA1 (Heat Shock Protein 90 Alpha Family Class A Member 1Heat Shock Protein 90 Alpha Family Class A Member 1)
9d
Profiling of Extracellular Vesicles of Non-Small Cell Lung Cancer Reveals Proteins Associated With Osimertinib Resistance. (PubMed, J Extracell Vesicles)
In summary, we demonstrate that protein profiling of EVs in relation to osimertinib refractoriness has the potential to identify possible biomarkers that can indicate osimertinib treatment resistance, for example, CSPG4, HSPG2, TAGLN, TNC, THBS1, ANXA1 and CD73/NT5E. Studies in expanded cohorts should be conducted to further validate these putative osimertinib biomarkers.
Journal • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • FOLR1 ( Folate receptor alpha ) • CD73 (5'-Nucleotidase Ecto) • NT5E (5'-Nucleotidase Ecto) • CSPG4 (Chondroitin Sulfate Proteoglycan 4) • LAMP3 (Lysosomal Associated Membrane Protein 3) • ANXA1 (Annexin A1) • L1CAM (L1 cell adhesion molecule) • TAGLN (Transgelin)
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EGFR mutation
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Tagrisso (osimertinib) • simmitinib (SYHA1817)
10d
Enrollment open • Platinum resistant
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FOLR1 ( Folate receptor alpha )
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gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan
10d
Expression of antibody drug conjugate target antigens in ovarian sex cord stromal Tumors. (PubMed, Gynecol Oncol)
The pervasive absence of HER2, folate receptor alpha, DLL3, TROP-2, and nectin-4 expression in SCSTs suggests ADCs targeting these antigens may be of limited clinical benefit. The design of clinical trials investigating the use of tissue factor-targeting ADCs for the treatment of adult GCTs warrants future consideration.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • FOLR1 ( Folate receptor alpha ) • DLL3 (Delta Like Canonical Notch Ligand 3) • NECTIN4 (Nectin Cell Adhesion Molecule 4) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
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Imdelltra (tarlatamab-dlle)
12d
Gynecologic cancers in 2025: a year in review. (PubMed, Int J Gynecol Cancer)
In advanced ovarian cancer, TRUST re-examined surgical timing, supporting primary cytoreduction in selected resectable patients, whereas ICON8B suggested that weekly paclitaxel with carboplatin and bevacizumab may improve outcomes in high-risk disease. Platinum-resistant ovarian cancer saw the most disruptive progress: mirvetuximab soravtansine validated folate receptor-α as a therapeutic target, with overall survival benefit in high-expressing tumors; trastuzumab deruxtecan expanded actionable HER2 disease, with greatest activity in tumors rated 3+ by immunohistochemistry; and combination strategies, including relacorilant plus nab-paclitaxel and pembrolizumab plus weekly paclitaxel ± bevacizumab, delivered clinically meaningful survival signals, underscoring the need for harmonized biomarker strategies and proactive toxicity mitigation...In cervical cancer, pembrolizumab added to definitive chemoradiotherapy set a new benchmark in locally advanced disease, and ultra-sensitive circulating tumor DNA analyses emerged as a powerful prognostic tool to enable post-treatment risk-adapted strategies. Collectively, the 2025 data set reinforces a "right therapy, right patient, right time" paradigm and prioritizes confirmatory antibody-drug conjugate trials, resistance biology, and dynamic biomarkers to translate gains into durable, equitable benefit.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • FOLR1 ( Folate receptor alpha )
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MSI-H/dMMR
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Keytruda (pembrolizumab) • Avastin (bevacizumab) • carboplatin • Enhertu (fam-trastuzumab deruxtecan-nxki) • albumin-bound paclitaxel • Elahere (mirvetuximab soravtansine-gynx) • relacorilant (CORT125134)
14d
Targeted Co-Delivery of Bioactives via Inhalable Folic Acid-Functionalized Chitosan Microparticles Induces Immunomodulation and Selective Cytokine Production in A549 Lung Cancer Cells. (PubMed, Macromol Biosci)
FA_CMloaded is reported to influence cellular functions without compromising cell viability on L132 and peripheral blood mononuclear cells (PBMCs) till 72 h, but selectively exhibits time-dependent and dose-dependent cytotoxic effect on A549 cells. This study encourages further in vivo validation to establish targeted delivery of flavonoids via the pulmonary route with increased bioavailability and minimal systemic toxicity.
Journal
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FOLR1 ( Folate receptor alpha )
15d
Engineering a fifth-generation CAR T cells to overcome PD-L1-mediated immunosuppression in lung cancer. (PubMed, Biomed Pharmacother)
Human T lymphocytes were engineered with a lentiviral vector to express anti-FRα-CAR5, which incorporates a fourth-generation CAR backbone (CD28, 4-1BB, CD27, and CD3 zeta) augmented by a secreted anti-PD-L1 scFv derived from atezolizumab...This fifth-generation CAR offers a promising strategy to enhance CAR T cell therapy efficacy in PD-L1-mediated immunosuppressive TMEs. These findings suggest that anti-FRα-CAR5 T cells therapy warrants further preclinical validation as a potential treatment strategy for NSCLC patients.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • FOLR1 ( Folate receptor alpha ) • CD27 (CD27 Molecule)
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PD-L1 expression
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Tecentriq (atezolizumab)
18d
Mirvetuximab Soravtansine: Mechanism of Action, Clinical and Translational Science. (PubMed, Clin Transl Sci)
Mirvetuximab soravtansine (MIRV) is an antibody-drug conjugate (ADC) composed of the DM4 payload conjugated to a folate receptor α (FRα)-targeting antibody via the cleavable sulfo-SPDB linker. The MIRV Phase 3 registrational trial (MIRASOL) showed superiority of MIRV vs. chemotherapy (paclitaxel, pegylated liposomal doxorubicin, or topotecan) in patients with high (≥ 75%) FRα-expression PROC, showing an objective response rate of 42% versus 16%, a median progression-free survival of 5.6 versus 4.0 months, and an overall survival of 16.5 versus 12.8 months. Here, we briefly review MIRV mechanism of action, pharmacokinetics, pharmacodynamics, and key clinical efficacy and safety data.
Review • Journal
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FOLR1 ( Folate receptor alpha ) • PROC (Protein C, Inactivator Of Coagulation Factors Va And VIIIa)
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FOLR1 expression
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paclitaxel • pegylated liposomal doxorubicin • Elahere (mirvetuximab soravtansine-gynx) • topotecan
19d
RG1125765: Genetically Engineered Cells (FH-FOLR1 ST CAR T Cells) for the Treatment of Advanced Osteosarcoma, FIERCe Trial (clinicaltrials.gov)
P1, N=30, Recruiting, Fred Hutchinson Cancer Center | Not yet recruiting --> Recruiting | Initiation date: May 2026 --> Jan 2026
Enrollment open • Trial initiation date
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FOLR1 ( Folate receptor alpha )
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cyclophosphamide • fludarabine IV